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Effect of functional task exercises on gait parameters in elderly individuals of Maharashtra: A randomized control trial
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 10 No. 1 (2022): 2022 Volume - 10 Issue - 1
Abstract
Elderly individuals are the individualsthat are 65 years of age and above. Normal aging process causes changes in the neuromuscular system of an individual which causes restriction in walking capabilities. Walking is a basic function required in daily living. Walking speed determines individuals’ stability to avoid falls, whichreduces further problems and the patient’s quality of life.
Aim
To study the effects of functional task exercises on gait parameters in elderly individuals of Maharashtra.
Methods
Among 79 individuals, 30 elderlies were randomly allocatedin two groups (15 individuals each) as per their inclusion and exclusion criteria.Gait parameters like dynamic stability, gait speed, cadence and affective level were assessed before and after training. Functional task exercises were based on state-of-the-art knowledge about human movement sciences. These specific exercises were inculcated to experimental group participants in three different phases with hydration interval in-between for 4 weeks while control group participants continued with conventional exercise program. Post trainingdata were collected and statistically analysed.
Results
Dynamic gait index findings of experimental group compared to control group with mean (21.33±1.490) and (21.4±1.650) respectively before intervention and (22.4±1.2) and (21.933±1.481) respectively after intervention.Modified gait efficacy questionnaire of experimental group compared to control group with mean (56.66±15.776) and (50±10) respectively before intervention and (70.66±12.364) and (54.66±13.597) respectively after intervention. Cadenceof experimental group compared to control group with mean (83.86±9.527) and (85.06±12.374) respectively before intervention and (91.46±8.523) and (89.46±11.598) respectively after intervention.Gait speed of experimental group compared to control group with mean (0.86±0.144) and (0.88±0.146) respectively before intervention and (1.086±0.154) and (0.98±0.145) respectively after intervention.
Conclusion
The study concludes that functional task exercise program significantly improved gait in elderly than conventional exercises.
Keywords
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1. Landefeld CS, Palmer RM, Johnson MA, Johntson CB, Lysons LW. Current geriatric diagnosis and treatment. internationaled. McGraw-Hill; 2004.
2. Arif M, Ohtaki Y, Nagatomi R, Inooka H. Estimation of the effect of cadence on gaitstability in young and elderlypeople using approximateentropytechnique.MeasSciRev. 2004;4(2):29-40.
3. Prince F, Corriveau H, Hébert R, Winter DA. Gait in the elderly. Gait Posture. 1997;5(2):128-35. doi: 10.1016/S0966-6362(97)01118-1.
4. Elble RJ, Thomas SS, Higgins C, Colliver J. Stride-dependent changes in gait of older people. J Neurol. 1991;238(1):1-5. doi: 10.1007/BF00319700, PMID 2030366.
5. Oberg T, Karsznia A, Oberg K. Basic gait parameters: reference data for normal subjects, 10-79 years of age. J Rehabil Res Dev. 1993;30(2):210-23. PMID 8035350.
6. Shimada H, Kim H, Yoshida H, Suzukawa M, Makizako H, Yoshida Y, Saito K, Suzuki T. Relationship between Age-Associated Changes of Gait and fall and Life-Space in Elderly People. J Phys Ther Sci. 2010;22(4):419-24. doi: 10.1589/jpts.22.419.
7. Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, Cesari M, Donini LM, Gillette Guyonnet S, Inzitari M, Nourhashemi F, Onder G, Ritz P, Salva A, Visser M, Vellas B. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009;13(10):881-9. doi: 10.1007/s12603-009-0246-z, PMID 19924348.
8. De Vreede PL, Samson MM, van Meeteren NL, Duursma SA, Verhaar HJ. Functional-task exercise versus resistance strength exercise to improve daily function in older women: a randomized, controlled trial. J Am Geriatr Soc. 2005;53(1):2-10. doi: 10.1111/j.1532-5415.2005.53003.x, PMID 15667369.
9. Fleuren MA, Vrijkotte S, Jans MP, Pin R, van Hespen A, van Meeteren NL, Siemonsma PC. The implementation of the functional task exercise programme for elderly people living at home. BMC Musculoskelet Disord. 2012;13:128. doi: 10.1186/1471-2474-13-128, PMID 22824202.
10. Dr. Dhawale T, Dr. NehaBhosale.Dr. NileshAndhare, VishakhaPatilrelationshipbetweentrunkmobility and balancein Parkinson’s disease Turkish.J Physiother Rehabil;32 (3):6638-42.
References
2. Arif M, Ohtaki Y, Nagatomi R, Inooka H. Estimation of the effect of cadence on gaitstability in young and elderlypeople using approximateentropytechnique.MeasSciRev. 2004;4(2):29-40.
3. Prince F, Corriveau H, Hébert R, Winter DA. Gait in the elderly. Gait Posture. 1997;5(2):128-35. doi: 10.1016/S0966-6362(97)01118-1.
4. Elble RJ, Thomas SS, Higgins C, Colliver J. Stride-dependent changes in gait of older people. J Neurol. 1991;238(1):1-5. doi: 10.1007/BF00319700, PMID 2030366.
5. Oberg T, Karsznia A, Oberg K. Basic gait parameters: reference data for normal subjects, 10-79 years of age. J Rehabil Res Dev. 1993;30(2):210-23. PMID 8035350.
6. Shimada H, Kim H, Yoshida H, Suzukawa M, Makizako H, Yoshida Y, Saito K, Suzuki T. Relationship between Age-Associated Changes of Gait and fall and Life-Space in Elderly People. J Phys Ther Sci. 2010;22(4):419-24. doi: 10.1589/jpts.22.419.
7. Abellan van Kan G, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, Cesari M, Donini LM, Gillette Guyonnet S, Inzitari M, Nourhashemi F, Onder G, Ritz P, Salva A, Visser M, Vellas B. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. J Nutr Health Aging. 2009;13(10):881-9. doi: 10.1007/s12603-009-0246-z, PMID 19924348.
8. De Vreede PL, Samson MM, van Meeteren NL, Duursma SA, Verhaar HJ. Functional-task exercise versus resistance strength exercise to improve daily function in older women: a randomized, controlled trial. J Am Geriatr Soc. 2005;53(1):2-10. doi: 10.1111/j.1532-5415.2005.53003.x, PMID 15667369.
9. Fleuren MA, Vrijkotte S, Jans MP, Pin R, van Hespen A, van Meeteren NL, Siemonsma PC. The implementation of the functional task exercise programme for elderly people living at home. BMC Musculoskelet Disord. 2012;13:128. doi: 10.1186/1471-2474-13-128, PMID 22824202.
10. Dr. Dhawale T, Dr. NehaBhosale.Dr. NileshAndhare, VishakhaPatilrelationshipbetweentrunkmobility and balancein Parkinson’s disease Turkish.J Physiother Rehabil;32 (3):6638-42.